二氧化碳气腹对脑循环的影响  

The Effect of CO_2 Pneumoperitoneum on the Cerebral Blood Flow during Laparoscopic Surgery

作　　者：刘春风[1] 谢红[1] 吴浩荣[1] 支海红[1] 吴雪良 包仕尧[1] 

机构地区：[1]苏州医学院附属第二医院,215004

出　　处：《江苏医药》1998年第5期313-314,共2页Jiangsu Medical Journal

摘　　要：研究腹腔镜手术二氧化碳人工气腹对脑血流的影响。采用TC2020型TCD仪对19例胆囊炎胆石症患者于腹腔镜术中行脑血流动态监测。结果表明气暖时大脑中动脉平均流速无变化，脉动指数降低，血压升高，气腹后脉动指数，收缩压迅速恢复正常，舒张压恢复较慢。结论：腹腔镜手术时二氧化碳人工气腹对脑血流无影响。The effect of CO2 pneumoperitoneum on the cerebral blood flow in the course of laparoscopicsurgery upon 19 chole1ithiasis patients had been studied. The cerebral blood flow was dynamica1ly monitored bymeans of TCD biprobe method. The results told us that the mean cerebral blood f1ow velocity had no change, eventhough the pulsatility index decreased and blood pressure increased after CO2 inflation of the peritoneum, duringthe laparoscopic operative procedure. When the operation was over, the pulsatility index and the blood pressuresoon became normal, especially the diastolic pressure became stable. It may be concluded that as a whole CO2pneumoperitoneum will not do any harm to the cerebral blood flow whi1e operation clone with laparoscopy.

关 键 词：腹腔镜手术 二氧化碳 气腹 脑血流 多普勒超声 

分 类 号：R656[医药卫生—外科学]